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HomeMy WebLinkAbout23861-zFORFi NO. 4 TOWN OF SOUTEOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-25085 Date JUNE 13, 1997 THIS CERTIFIES that the buildin~ Location of Property. 1450 LONGVIEW LANE House No. County Tax Map No. 1000 Section 88 Subdivision ADDITION SOUTHOLD, N.Y. Street Hamlet Block 4 Lot 43 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 3, 1996 pursuant to which Building Permit No. 23861-Z dated DECEMBER 11, 1996 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is GARAGE ADDITION TO EXISTING GARAGE OF A OWE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to of the aforesaid building. MARY ANN FAP~LEY SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A N-418219 - APRIL 28, 1997 N/A ~ 'Bu].lds. ng~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PER~IT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 23s6~ zDote ....... ...~....,~(../. ..................................... .. ,,?.~. Permission is hereby grqFrl~ql to: . ..... ~Z~.~..~ .......................... ....................... ~.z~......~ ........ ~ . ................ ~ ...... ~ .. ~ .... ~..... ..... · ~t p~,~,~ ~ed ~ ............... ~.~..~..~.~.~~ ............................ County Tax Map No. 1000 Section ..... ~/~'~"~" Block ....... ~ ......... Lot No....~....~... pursuant to application doted ........... ~...~....~.. ................. , 19..~..~::~ and approved by the Building Inspector. Building Inspector Rev. 6/30/80 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-I802 . APPLICATION FOR CERTIFICATE OF OCCUPANCY ~20~3~&~, T~is application must be filled in by t~pewriter OR in~ and submitted to the building ±nspecto~ with the following~ ~or new building or new use~ 1. Final survey of .property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Realth Dept. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. 5. Commercial building, in.dust~rial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of c6mpleted si~e plan requirements.. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and Upre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C ? Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Buildin~ - $i00.00 '? 3. Copy of Certificate of Occupancy - ~..25~. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 pate ~"~/~ ~ .. . ~ew Construction ..... O~d Or ~re-exSstSng BuS[dS~g ................ ~o~o~ o~ ,~o~=~.., .... ~.~ .... ~s~¢.~/.~:~..~.~ ........ &~7~.q ~ ............. House No. Street Ha~et Onwer or O~ers of Property .... - ..................................................... can=~ ~= ~ ~o ~00o, ~,=~an....~.~. ...... ~o~...~ ........... ~o~..~g. ................ Subdivision Filed MapLot · Health Dept Approval Underwriters Approval .. Planning Board Approval ........ ~ ............... / Request for: Temporary Certificate ........... Final Certicate ........... APPLICANT Al)l) I'l'l ()/IAI, (;f,)~'ll. llr, ll'l',*J; 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [, ] I~LATION/ [ ] FRAMING [v] FINAL [ ] FIREPlACE&CHIMNEY ,,~.A,,,~s~ ~ Z ~ INSPECTOR 765-1802 BUILDING DEPT. INSPECTION F~MING [~ ] FINAL FIREPLACE & CHIMNEY DATE~/~7 INSPECTf~ 765-1802 BUILDING DEPT. INSPECTION [ ~FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] INSULATION / [ VI/FRAMING [ ] FINAL [ ] FIREPLACE &CHIMNEY REMARKS: DATE '?~//'~ 7 INSPECTOR 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [~/FINAL [ ] FIREPLACE & CHIMNEY ....... DATE INSPECTOR THE NEW YORK BOARD OF FIRE UNDERWRITERS l{;~)~i2~J. BUREAU OF ELECTRICITY ~-- 85 JOHN STREET, NEW YORK, NY 10038 .' , O.t.' APRIL 28,1997 ~ppfieation Mo, onf~ 1319~397/97 N 418219 THIS CE~IFIES THAT o~y the e~trical ~uipment ~ ~scrib~ be~w a~ int~uc~ by t~ applicant ~med on the a~ve application number in the prem~e~ of ~[ARYkNNE FARLEY, 1450 LONGVIEW LANF,, POLE # in the followlng iocation; [] B~sement [] Ist FI. ~ 2nd Ff. G~/OUT 'Section Block Lot was examined on /~RIL 22, :[997 and found to be in compliance with the National Electrical Code. DRYERS I FURNACE MOTORS I FUTURE APPLIANCE FEEDERS AMT. I(,W. OIL H,P, GAS H.P, A~T. NO. A W.G. SERVICE DISCONNECT METER 1 100 CB RANGES iPECIAL REC'PT R TIME CLOCKS BELL UNIT HEATERS MULTI.OUTLET  SYSTEMS A~T ,~PS, TRANS. NO. OF FEET S V I C EXHAUST FANS DIMMERS NEUTRALS A, W G, OF NEUTRAL 2t0 Per 11 GENERAL MANAGER This ¢ertific~e must not be aJtered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. PAUL R. BURNS PO BOX 1061 SOUTHOLD, ~Z', 11971-~932 COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN:I~Y~ MANNER. Iq)RH NU. 'fOltN 01" ,qOIFl'llOl.l) IIII 11,DI Iq(~ I) 1~ I~ ^ l/'l'i'll?, lt'l 'l'l)lIN Il^IA. IiOIITIIOI,I), N.Y. TEl.: ^PI I~,l FOIl IIII I 1.1) 1 iqG I'F. Itll I T I i'l.qTll U CT I OI,I fl Illl^l(ll t11: Ill';^l.'l'll ............... ,...~3 ,ql';Tll Og I'I.^N,S ............... /,qlIIIVEY ........................ /CIIE~K ......................... ,ql~P'l' 1C FORH ................... NOTIFY: / IIA 11, TO: ................... a. 'Il.is aplHit:nl i(~ .u,qt I~: c~s.qHetely filled in by lylX~,n'iter or in ink n,,I nuNnitled to b. Iqol plnn shtxdn8 Ilk:al. iisi o[ Iol m~] of Niildlngs ~m l~o.isea, ~elal. ionshil~ Ihin npplication. ('. 'lhe ~nk covered hy tltjs allllical iOll iXily [Ill' I~ (:ciII!~l~ I~[bre iasuam'e of I~Hlding Permit. (k't'Ul~l[~:~ ~dmll have Is~n Ilraut~l by the Iiiilding I~'l~ulnl i~m~, for Ihe c~.ml'n~l i(~ of I~Hldingn, ~hlll i(~m or alle~nl, ions, or for r(m~vnl or descrilxM. 'lhe al~pli(:anl, ngeees to c~{)ly with all al])licnble I;~s. ordinances, laJilding c(xle, h(aming (fiignalure of npplicanl', of ni~e, if a CmlXna(ion) (itl~. lull I'll lo Of co~'pO~ille: o[:fice~) ~,~.,:,~.:i.,,:, ,.i,:~,,:,~ ,,,....3..s..q..7. ~? ...... OI her 'l'r;uk~ ' a l.icense ~ ..................... ...... ...................... ................. 5 ........................... l~,lxlivi,,i,a, .. ~g.U.~..~.~.~ ............ Fi led ~ll' Il,. g.~.¢.{ ....... lot .~ .~ ......... " (f~ II ' ) i ~.~. . I ~ ' ]PI,OT DIA(}ITAFI C~IRE L GLEW i (~,u ul e (~l' Al)id Not~ Pubfic, State of New YOrk No~4~79505, ~ ~. Ou~lified ~n Suftol~ Coum~ Commission Expires Oecemb~r ~ 1~ ~